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Individual

HEEYOON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5630 DEMPSTER ST, MORTON GROVE, IL 60053-3110
(847) 581-1891
Mailing address
611 PRESTWICK LN, WHEELING, IL 60090-6233
(224) 392-0855

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011257
IL

Other

Enumeration date
10/17/2018
Last updated
10/17/2018
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